Individual
PAVITRA M TULADHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 N 16TH ST, SUITE 150, PHOENIX, AZ 85020-4431
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470071
—
AZ
Enumeration date
05/28/2006
Last updated
08/13/2010
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